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Individual

STEPHANIE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1620 CUMMINS DR, MODESTO, CA 95358-6400
(209) 576-1750
Mailing address
1620 CUMMINS DR, MODESTO, CA 95358-6400

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
10/17/2023
Last updated
05/16/2025
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